This book examines the relationship between culture and psychopathology to determine if proposed psychological risk factors ( low ethnic identification and high level of acculturative stress) are predictive of several key mental health variables related to suicide and eating disorder behaviors (depression, anxiety, suicidality, body dissatisfaction and drive for thinness) in individuals of African descent in the U.S. Results confirm the hypothesis that low ethnic identification attitudes (low African Self-fortification) interacts with acculturative stress to predict greater suicidality in African American men while a low value for African Centered Relationships predicts Drive for Thinness in African American women.